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Showing posts with the label Impaired Tissue integrity

Impaired Tissue integrity

Damage to mucous membrane, corneal, integumentary, or subcutaneous tissues Defining Characteristics: Damaged or destroyed tissue (e.g., cornea, mucous membrane, integumentary, or subcutaneous) Related Factors: Mechanical (e.g., pressure, shear, friction);  radiation (including therapeutic radiation);  nutritional deficit or excess;  thermal (temperature extremes);  knowledge deficit; irritants, chemical (including body excretions, secretions, medications);  impaired physical mobility;  altered circulation;  fluid deficit or excess NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Tissue Integrity: Skin and Mucous Membranes Wound Healing: Primary Intention Wound Healing: Secondary Intention Client Outcomes Reports any altered sensation or pain at site of tissue impairment Demonstrates understanding of plan to heal tissue and prevent injury Describes measures to protect and heal the tissue, including wound care Wound decreases in size a...